创伤后应激障碍严重程度对住院药物使用治疗后立即恢复药物使用的影响

IF 3.2 3区 医学 Q2 PSYCHIATRY
Nicole H. Weiss, Noam G. Newberger, Emmanuel D. Thomas, Silvi C. Goldstein, Diana Ho, Stephen M. Coutu, Alyssa L. Avila, Ateka A. Contractor, Lynda A. R. Stein
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引用次数: 0

摘要

药物滥用症(SUD)住院治疗后的一段时间内,药物滥用的复发率很高。创伤后应激障碍(PTSD)在接受住院药物使用障碍(SUD)治疗的患者中非常普遍,也是同时患有创伤后应激障碍和药物使用障碍的患者使用药物的主要动机。为了填补文献中的重要空白,本研究考察了创伤后应激障碍严重程度对住院治疗后 30 天内药物使用天数的影响,以及人口、药物依赖性障碍和临床因素对药物使用恢复的影响。参与者(N = 65,Mage = 40.6,52% 为女性,79% 为白人)在接受药物滥用住院治疗期间(出院前约一周)完成了创伤后应激障碍和药物滥用的半结构化诊断访谈,以及人口统计学和抑郁症的自我报告测量,出院后约一个月完成了后续评估(药物使用的时间线跟踪)。创伤后应激障碍的严重程度与住院治疗后 30 天内使用药物的天数有关,高于人口统计学因素(即种族/民族、性别、就业、住房不安全)、SUD(即酒精、兴奋剂、阿片类药物、大麻和镇静剂/催眠药/抗焦虑药使用障碍的严重程度)和临床因素(即抑郁症的严重程度)。研究结果强调了在住院治疗吸毒成瘾和重返社会规划期间进行创伤后应激障碍评估和干预的重要性,以帮助减轻重返社区期间再次使用药物的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of Posttraumatic Stress Disorder Severity on Return to Substance Use Immediately Following Residential Substance Use Treatment

The period immediately following residential substance use disorder (SUD) treatment is characterized by high rates of return to substance use. Posttraumatic stress disorder (PTSD) is highly prevalent among individuals in residential SUD treatment and is a primary motive for substance use among individuals with co-occurring PTSD and SUD. Addressing important gaps in the literature, the current study examined the role of PTSD severity on days of substance use during the 30 days immediately following residential SUD treatment over and above demographic, SUD, and clinical factors associated with return to substance use. Participants (N = 65, Mage = 40.6, 52% women, 79% white) completed semi-structured diagnostic interviews for PTSD and SUD and self-report measures of demographics and depression while in residential SUD treatment (approximately one week before discharge), and then a follow-up assessment (timeline follow-back for substance use) approximately one month after discharge. Greater PTSD severity was associated with more days of substance use in the 30 days immediately following residential SUD treatment over and above demographic (i.e., race/ethnicity, gender, employment, housing insecurity), SUD (i.e., alcohol, stimulant, opioid, cannabis, and sedative/hypnotic/anxiolytic use disorder severity), and clinical (i.e., depression severity) factors. Findings underscore the importance of PTSD assessment and intervention during residential SUD treatment and re-entry planning to assist in mitigating return to substance use during community reintegration.

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来源期刊
CiteScore
15.90
自引率
2.50%
发文量
245
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health and Addictions (IJMH) is a publication that specializes in presenting the latest research, policies, causes, literature reviews, prevention, and treatment of mental health and addiction-related topics. It focuses on mental health, substance addictions, behavioral addictions, as well as concurrent mental health and addictive disorders. By publishing peer-reviewed articles of high quality, the journal aims to spark an international discussion on issues related to mental health and addiction and to offer valuable insights into how these conditions impact individuals, families, and societies. The journal covers a wide range of fields, including psychology, sociology, anthropology, criminology, public health, psychiatry, history, and law. It publishes various types of articles, including feature articles, review articles, clinical notes, research notes, letters to the editor, and commentaries. The journal is published six times a year.
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